Referral Specialist - Front Office Specialty Scheduling - PRN NEW

Referral Specialist - Front Office Specialty Scheduling - PRN

Job Description

Overview

Position is PRN - coverage for vacations or call ins. Expectation is 16-32 hours/month

Collaborates with physicians, patients, and insurance companies to pre-certify medical services and procedures in order to deliver quality medical care in the most cost effective manner. Serves as pivotal point for communication among these parties. Provides assistance in utilization management and related duties by working collaboratively with the multidisciplinary team to achieve desired clinical, service and cost outcomes. Ensures that patients presenting for treatment obtains authorization from third party payers in order to expedite the receipt of full and timely reimbursement. Provides valuable information for consideration in clinical decision-making. Promotes quality patient care and to prevent costly payment denials and reduce the institution's financial risk.

Key Responsibilities:

• Patient experience with referral review and scheduling appropriately with correct providers and resources

• Professional Phone Skills

• Working as a team to cover all front office duties - faxing, managing messaging, registration check in , insurance reviews,

• Positive demeanor

• Quick learner or previous Cerner experience

Qualifications:

• Must have medical Office experience
• Must have experience with provider scheduling
• Cerner skills a plus

Requirements:

• Requires High School diploma or equivalent.
• Requires 2-4 years of relevant experience.
• Minimum one-year medical office experience or combination of extensive customer service work experience and education in insurance verification, patient registration, and medical terminology.
• Requires working knowledge of payer billing requirements, regulations, and the third party appeal and denial process.

We are an equal opportunity employer. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.